Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $170.18 / $422.27	Facility		$103.71	$170.18	$422.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $156.03 / $379.41	Professional		$128.83	$156.03	$379.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.38 / $189.37 / $291.75	Professional		$141.38	$189.37	$291.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $138.36 / $212.18	Professional		$60.00	$138.36	$212.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $181.48 / $258.17	Facility		$110.64	$181.48	$258.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $238.88 / $379.04	Professional		$140.91	$238.88	$379.04
United Facility/Professional Professional Modifier Low / Median / High Price $169.68 / $238.69 / $287.39	Professional		$169.68	$238.69	$287.39